Individual provider Active NPI

Christine Frances Fisher, PT, DPT, CLT-LANA

  • Physical Therapist
  • Mooresville, NC
National Provider Identifier
1619692738
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P19993 Issued in NC
Practice address
136 Corporate Park Dr Ste a
Mooresville, NC 28117-6960
Phone
(704) 360-2796
NPI assigned
Oct 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P19993 NC Primary

Addresses

Primary practice location

136 Corporate Park Dr Ste a
Mooresville, NC 28117-6960

Mailing address

1025 Perth Rd
Troutman, NC 28166-8639

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230222000465 NC Practitioner - Physical Therapist in Private Practice 5597138594 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saylor Physical Therapy Cornelius LLCGroup PAC ID 9133443658, 6 clinicians

Practice addresses (Care Compare)

19460 Old Jetton Rd
Suite 202
Cornelius, NC 28031-6456

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P19993NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Saylor Physical Therapy Cornelius LLC CurrentSince Mar 21, 2023 Accepting new patients
Saylor Physical Therapy CurrentSince Jan 1, 2023 Accepting new patients

Locations

19460 Old Jetton Rd
Ste 202
Cornelius, NC 28031
Phone (704) 255-6879

136 Corporate Park Dr
Ste A
Mooresville, NC 28117
Phone (704) 360-2796

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1619692738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 PERTH RD",
            "city": "TROUTMAN",
            "state": "NC",
            "postal_code": "281668639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 CORPORATE PARK DR STE A",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176960",
            "telephone_number": "704-360-2796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "CHRISTINE",
        "middle_name": "FRANCES",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, CLT-LANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P19993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.